| Cedar Run Orthodontics, Pa | |
|
1064 S Main St Suite 2a West Creek NJ 08092-2912 | |
| (609) 978-4411 | |
| (609) 978-6677 |
| Full Name | Cedar Run Orthodontics, Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1064 S Main St, West Creek, New Jersey |
| Authorized Official Name and Position | Gregory J Defelice (PRESIDENT) |
| Authorized Official Contact | 6099784411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Run Orthodontics, Pa 1064 S Main St Suite 2a West Creek NJ 08092-2912 Ph: (609) 978-4411 | Cedar Run Orthodontics, Pa 1064 S Main St Suite 2a West Creek NJ 08092-2912 Ph: (609) 978-4411 |
| NPI Number | 1720236607 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720236607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI02278100 (New Jersey) | Primary |
Ocean Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 S Main St, West Creek, NJ 08092 Phone: 609-597-9290 |